| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,874 |
2,985 |
$187K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
146 |
117 |
$5K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
50 |
47 |
$2K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
174 |
125 |
$498.69 |
| J2930 |
Injection, methylprednisolone sodium succinate, up to 125 mg |
36 |
28 |
$147.94 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
15 |
13 |
$26.83 |
| 81002 |
|
12 |
12 |
$0.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
25 |
25 |
$0.00 |
| A4250 |
Urine test or reagent strips or tablets (100 tablets or strips) |
13 |
13 |
$0.00 |